| NPI | 1093142978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076828A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063866) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2018-05-02 |