| NPI | 1538457718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076392A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01255) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2022-10-07 |