| NPI | 1164943908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR T2020-168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 81625-20) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2023-03-29 |