| NPI | 1659466381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 42808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 049767) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-03-25 |