| NPI | 1922635325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01097098A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD481507) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-10-13 |