| NPI | 1124199401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 4487MD) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 2111) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2021-02-10 |