| NPI | 1396226981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017042680) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2017042680) |
| 207Q00000X Family Medicine (Licence: MO 2017042680) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |