| NPI | 1871022095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2021050221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.153168) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2025-10-03 |