| NPI | 1043740558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030751) |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2024-01-10 |