| NPI | 1881256832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 56850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074688) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2022-09-02 |