| NPI | 1932697976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 34342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11020029A) |
| 208000000X Pediatrics (Licence: IN 01088171A) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-11-22 |