| NPI | 1922560333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101283218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 32773) |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-06-12 |