| NPI | 1225026388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 21255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 011670) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-11-07 |