| NPI | 1942614045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 13179519-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007265) |
| 207R00000X Internal Medicine (Licence: ME DO3041) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-04-19 |