| NPI | 1053007971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102209325) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI DOSR624) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2025-05-27 |