| NPI | 1841553336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061531) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-12-27 |