| NPI | 1770005902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301504732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME157909) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-12-28 |