| NPI | 1720374788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019552) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2020-03-23 |