| NPI | 1609094390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 46088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01067052A) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-07-24 |