| NPI | 1154397735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 10537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 158755) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-10-03 |