| NPI | 1992158125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64012) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2025-12-19 |