| NPI | 1619627890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11022500A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2025-00887) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-07-07 |