| NPI | 1790740199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 37986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01046413A) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-03-26 |