| NPI | 1710051610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD16820) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 16820) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-12-11 |