| NPI | 1467613463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01069395A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01481) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-12-03 |