| NPI | 1801279120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 97841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018517) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2024-09-12 |