| NPI | 1992489181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD70083390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.082589) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2026-09-23 |