| NPI | 1891101093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL U04244) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-12-14 |