| NPI | 1356653463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN FY5568019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010014300) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2025-06-26 |