| NPI | 1760753719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301105735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072146A) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2020-02-25 |