| NPI | 1891355640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 102982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 05343) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-02-12 |