| NPI | 1780816447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 2439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116021790) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-04-27 |