| NPI | 1851955447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 102708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 294780) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-04-17 |