| NPI | 1609228568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 27035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14132) |
| 207R00000X Internal Medicine (Licence: TN 59629) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2021-04-08 |