| NPI | 1881247005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 48177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019019537) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-04-29 |