| NPI | 1598064131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02188) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60355-20) |
| 207R00000X Internal Medicine (Licence: IL 036.135929) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2023-07-20 |