| NPI | 1972878155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A130158) |
| 207R00000X Internal Medicine (Licence: CO DR.0070387) | |
| 207R00000X Internal Medicine (Licence: IL 036158390) | |
| 207R00000X Internal Medicine (Licence: MI 4301504705) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-05-24 |