| NPI | 1710253190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076080A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01076080A) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2016-07-01 |