| NPI | 1942995477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 8509220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 100518) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-01-08 |