| NPI | 1952041055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 21580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 110997) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-07-07 |