| NPI | 1881127173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101269335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83558) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-03-31 |