| NPI | 1992234876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MA 292614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272269) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-02-01 |