| NPI | 1508120809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078791A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012012806) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2017-08-24 |