| NPI | 1619298080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084469A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014029668) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2021-02-12 |