| NPI | 1104210368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D86064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D86064) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-01-20 |