| NPI | 1235669227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: TN 65509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017018875) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-11-28 |