| NPI | 1154746782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-48596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276264) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-10-21 |