| NPI | 1063945830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 5681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 0516622) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-08-29 |