| NPI | 1053057091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO227481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG211365) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-12-08 |