| NPI | 1497131353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-01800) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD P31334) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2023-03-15 |