| NPI | 1942738083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0018388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09300) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-03-27 |