| NPI | 1912497678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 63293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76891) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-09-15 |