| NPI | 1568413060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 82141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01061425A) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-03-10 |