| NPI | 1467602763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 26638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 149807) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-04-15 |