| NPI | 1639681018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.168664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01084682A) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-04-25 |