| NPI | 1811668163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MRO-2232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO231902) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2026-08-25 |