| NPI | 1942902630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 351888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 204307) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-10-09 |