| NPI | 1629509781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 31494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268973) |
| 207R00000X Internal Medicine (Licence: TN 68219) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-08-08 |