| NPI | 1316345887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3731) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2023-02-01 |