| NPI | 1063972917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102206491) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102206491) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-10-12 |