| NPI | 1811576655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1023353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO220270) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-07-25 |