| NPI | 1467802272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: MA 277265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267511) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2021-05-06 |