| NPI | 1841987245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A208950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 13470) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2026-09-17 |