| NPI | 1891470365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MO 2024019873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023019822) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-07-15 |