| NPI | 1649858275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 67479) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |