| NPI | 1750843611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02007484A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102207228) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-04-22 |