| NPI | 1750840518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-02692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022039072) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-07-24 |