| NPI | 1598721276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD37496) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2024-03-05 |