| NPI | 1710548490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 35303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045531) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-09-29 |