| NPI | 1902891542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02001394A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101010753) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-06-01 |