| NPI | 1982193785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 74348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 42443) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-06-06 |