| NPI | 1720469232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME171414) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-263681) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2025-01-23 |