| NPI | 1801279476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 68912) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 042103606) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2023-10-26 |