| NPI | 1336776566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301510483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075861) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-02-09 |