| NPI | 1619463064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME159484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 85869) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-05-17 |