| NPI | 1679004337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272442) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2020-06-18 |