| NPI | 1972131035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 295311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT235489) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-12-12 |