| NPI | 1164838934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 133736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01096670A) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-08-21 |