| NPI | 1295140127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101267053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 78163) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-01-20 |