| NPI | 1710312236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS12865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3540) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-04-19 |