| NPI | 1144801770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS T-5897) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA PTL10554) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2025-08-12 |