| NPI | 1780926261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 25195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 16422) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2025-07-08 |