| NPI | 1528487956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO193586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 177948) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-08-21 |