| NPI | 1477843316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 008588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017153) |
| 207R00000X Internal Medicine (Licence: OH 34.011577) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-12-30 |