| NPI | 1619087194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01060837A) |
| Additional Taxonomies | 261Q00000X (Licence: IN 01060837) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-04-19 |