| NPI | 1336644970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1015854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD DS0091404) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-11-29 |