| NPI | 1861473209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301064947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301364947) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2023-10-09 |