| NPI | 1659638930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01088632A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D80275) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-12-07 |