| NPI | 1457660235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01074292A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245973) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2021-01-29 |