| NPI | 1922530682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-01530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46970) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-08-08 |