| NPI | 1225345085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.206557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 206557) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2022-07-21 |