| NPI | 1083238844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 336799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL84263) |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2024-03-11 |