| NPI | 1467804237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-02972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101269121) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-10-15 |