| NPI | 1629205273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01077837A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250994) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-12-03 |