| NPI | 1003079419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101242686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 1252) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-10-11 |