| NPI | 1700273554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 1988) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2021-05-19 |