| NPI | 1255606554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-02820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54363) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-08-17 |