| NPI | 1114459625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4886) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2021-07-05 |