| NPI | 1952894362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 101618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 2197) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2025-05-28 |