| NPI | 1346869955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A191931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD27047) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-12-16 |