| NPI | 1326064395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 050637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40808) |
| 207R00000X Internal Medicine (Licence: NM MD2018-0302) | |
| 207R00000X Internal Medicine (Licence: AL MD.32903) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-03-16 |