| NPI | 1376936799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME158200) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN636) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2024-01-25 |