| NPI | 1952541849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 54487-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091100) |
| 207R00000X Internal Medicine (Licence: IL 306.159610) | |
| 207R00000X Internal Medicine (Licence: CO CDR.0001572) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2022-08-05 |