| NPI | 1740276161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01058107A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01058107) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-03-23 |