| NPI | 1881392074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2025019919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025019919) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2026-06-22 |