| NPI | 1679599237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 23977) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-06-15 |