| NPI | 1770961021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01098229A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301119163) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2026-01-05 |