| NPI | 1275973323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263420) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-11-18 |