| NPI | 1699062620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 27886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6561) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-04-23 |