| NPI | 1154775385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 162359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2019-0831) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-12-27 |