| NPI | 1770964389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A172269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16308) |
| 207R00000X Internal Medicine (Licence: RI LP03523) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2024-05-07 |