| NPI | 1093028359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-133694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315045564) |
| 207R00000X Internal Medicine (Licence: MI 5101018740) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2021-12-20 |