| NPI | 1861981375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65683) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301505410) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2022-08-23 |