| NPI | 1306341730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085434A) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-09-16 |