| NPI | 1720372428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102205270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315050406) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2025-01-23 |