| NPI | 1679884803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32927) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-11-22 |