| NPI | 1942705900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 68792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 86452) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-02-06 |