| NPI | 1982272118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A198546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223384) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2026-03-01 |