| NPI | 1073774410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072549A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0t012496e5) |
| 207R00000X Internal Medicine (Licence: TN 51577) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2017-01-09 |