| NPI | 1871025858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 51258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.157167) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-12-13 |