| NPI | 1346692076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D086430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.067935) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-09-25 |