| NPI | 1912433194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022008975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069875) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-05-25 |