| NPI | 1366897498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2018013112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL FA7830587) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-06-17 |