| NPI | 1184034365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 05327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021166) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-03-06 |