| NPI | 1093337107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS20164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151014483) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-06-22 |