| NPI | 1144571662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 30576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275847) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2021-08-25 |