| NPI | 1922494848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5175) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-08-21 |