| NPI | 1982157996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01082487A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068456) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-05-18 |