| NPI | 1902829963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2003014729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 3363) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2003014729) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-09-09 |