| NPI | 1598931628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 232734) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MI 245681) |
| 207R00000X Internal Medicine (Licence: MA 245681) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-02-25 |