| NPI | 1679984843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME161600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036144481) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-11-14 |