| NPI | 1598982993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 20734) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 20734) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 57.010312) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-10-04 |