| NPI | 1801318183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 65302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01083062A) |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2023-09-28 |