| NPI | 1780946236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101020834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02004027A) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2022-07-21 |