| NPI | 1366963407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 286600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 33118) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |