| NPI | 1952987463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME165023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA md56438) |
| 207R00000X Internal Medicine (Licence: MO 2026007280) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-06-18 |