| NPI | 1811482284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 65591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301116100) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-05-15 |