| NPI | 1790958130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01069812A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01069812A) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2021-11-12 |