| NPI | 1669785515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058960) |
| 207R00000X Internal Medicine (Licence: MO 2014026569) | |
| 207R00000X Internal Medicine (Licence: KY 49481) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-05-17 |