| NPI | 1942500335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058972) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2021-05-12 |