| NPI | 1518450816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0096125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101274762) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-07-28 |