| NPI | 1902471352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 82983) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CT 82983) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2026-01-07 |