| NPI | 1679697890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101047199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D42220) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-11-27 |