| NPI | 1679978340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO187162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG172103) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-11-10 |