| NPI | 1467707182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 3639320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060921) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-01-05 |