| NPI | 1811513575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 12054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2026-01977) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2026-04-19 |