| NPI | 1356901110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022024161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019017281) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2022-07-12 |