| NPI | 1972568483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-16875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 21033) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2013-09-16 |