| NPI | 1366722936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS12885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2819) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2022-08-12 |