| NPI | 1851304026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 16575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 21067) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-11-10 |