| NPI | 1598178436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 51421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08293) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-07-01 |