| NPI | 1821265356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47967) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-11-20 |