| NPI | 1831759125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2025-0612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 280405) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-09-02 |