| NPI | 1811620446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 161840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351049335) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-11-24 |