| NPI | 1205950284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065720) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-07-13 |