| NPI | 1144757949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI in process) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01090931A) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-09-12 |