| NPI | 1265993430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073599) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-07-02 |