| NPI | 1699397547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046116) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-07-19 |