| NPI | 1699182022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 19854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 142319) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2021-08-11 |