| NPI | 1912401191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301508301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 13253705-1205) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-05-23 |