| NPI | 1083908172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301098396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2015-0399) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-07-21 |