| NPI | 1154704872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21310) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21310) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-09-18 |