| NPI | 1871166082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1023609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A194402) |
| 207R00000X Internal Medicine (Licence: OH 57.251455) | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2026-03-04 |