| NPI | 1932840972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 36864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 83099-20) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-08-27 |