| NPI | 1285996926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO178137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.060910) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-12-03 |