| NPI | 1497135289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264180) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-08-19 |