| NPI | 1588015507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 34483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22259) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-08-09 |