| NPI | 1962898767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01086834A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22014) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-08-30 |