| NPI | 1932424595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 2349) |
| 207P00000X Emergency Medicine (Licence: MS 22451) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-05-12 |