| NPI | 1851877609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 76630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 286872) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2026-08-11 |