| NPI | 1952753642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME163153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268219) |
| 207R00000X Internal Medicine (Licence: MS 26931) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-07-27 |