| NPI | 1912369208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2020-0295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-22455) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2026-02-26 |