| NPI | 1245655984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255742) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2022-04-08 |