| NPI | 1427441641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 4909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204617) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2022-10-03 |