| NPI | 1891225504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084561A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112544) |
| 207R00000X Internal Medicine (Licence: MI 4351029322) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-03-29 |