| NPI | 1578056958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A174269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116031411) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-05-14 |