| NPI | 1134274129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD171272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 218217) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-09-18 |