| NPI | 1982698221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD29311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01060507A) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-06 |