| NPI | 1821382151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 33497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72848) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2024-07-30 |