| NPI | 1912585688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM DO2024-0098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM CS02325093) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-01-16 |