| NPI | 1225047640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01062538A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 40352) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-01-19 |