| NPI | 1821667544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 3210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.3210) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-09-05 |