| NPI | 1336596691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267620) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-11-16 |