| NPI | 1780037507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2020-0643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068685) |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2020-07-29 |