| NPI | 1891178190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V4448) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2024-12-10 |