| NPI | 1649229592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2004027778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A66757) |
| 207R00000X Internal Medicine (Licence: IN 01047908A) | |
| 207R00000X Internal Medicine (Licence: GA 47599) | |
| 207R00000X Internal Medicine (Licence: SC 20325) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-05-11 |