| NPI | 1194923961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-16389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250000) |
| 208000000X Pediatrics (Licence: VA 0101250000) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-12-03 |