| NPI | 1326622333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 83639) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-08-08 |