| NPI | 1831297696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066889A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 45119) |
| 207R00000X Internal Medicine (Licence: OH 35.083096) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-01-24 |