| NPI | 1427312875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD20534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 30154) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2022-04-20 |