| NPI | 1104452077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A193230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01090092A) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-12-05 |