| NPI | 1932373693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 0061618) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2024-09-09 |