| NPI | 1366962060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089789A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272163) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-06-22 |