| NPI | 1649409335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078936A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109302) |
| 207R00000X Internal Medicine (Licence: MO 2012020072) | |
| 207R00000X Internal Medicine (Licence: MO T2009006330) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-08-17 |