| NPI | 1760832323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 68925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7700) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2025-08-14 |