| NPI | 1023755519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01096406A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351049309) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-06-04 |