| NPI | 1740713858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0088984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD478434) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-07-06 |