| NPI | 1619293073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072480A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01072480A) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2014-07-29 |