| NPI | 1891321766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 25515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014796) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-12 |