| NPI | 1598020752 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 182935) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061994) | 
| 207R00000X Internal Medicine (Licence: IN 01081088B) | |
| Enumeration Date | 2012-07-12 | 
| Last Update Date | 2024-04-12 |