| NPI | 1871235317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME172945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10079252) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2025-06-24 |