| NPI | 1891891123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01070653A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056620) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-06-22 |