| NPI | 1730173527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 042321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 42321) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-03-02 |