| NPI | 1114945623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 032746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 150222) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-07-06 |