| NPI | 1619471091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 173244) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-08-14 |