| NPI | 1275844102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02004349A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101018943) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-11-27 |