| NPI | 1003176207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60854836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01079581A) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-12-27 |