| NPI | 1902902737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-6696) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID M6696) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-12-11 |