| NPI | 1841759701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 23576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 6984) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-06-02 |