| NPI | 1851741797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 24335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-50432) |
| 207R00000X Internal Medicine (Licence: NY 300248) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2026-07-21 |