| NPI | 1073937108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101258700) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101258700) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-09-27 |