| NPI | 1578926721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101272314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE 82783) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-08-11 |