| NPI | 1912490996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 104591) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-05-15 |