| NPI | 1750542288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 069598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 439765) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-04-12 |