| NPI | 1619953171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 56649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME79973) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2024-05-20 |