| NPI | 1245852029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 84328) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 84328) |
| 208000000X Pediatrics (Licence: IN 01094217A) | |
| 207R00000X Internal Medicine (Licence: IN 01094217A) | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-08-28 |