| NPI | 1003143231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.147464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095446) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2021-12-20 |