| NPI | 1598029985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2024021809) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101363) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2024-06-12 |