| NPI | 1912273400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 71831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 076645) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-06-28 |