| NPI | 1023468840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.158661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME143621) |
| 207R00000X Internal Medicine (Licence: GA 008300) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-03-02 |