| NPI | 1558709626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 272423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020329) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-02-13 |