| NPI | 1831719624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A197172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD218612) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-06-04 |