| NPI | 1508203662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD2574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266295) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2025-01-03 |