| NPI | 1205220399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101264335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58835) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2024-02-07 |