| NPI | 1316305766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 86382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116028854) |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2023-07-31 |