| NPI | 1326526724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 33628R) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2021-11-24 |