| NPI | 1992205991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22720) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PR 22720) |
| 208D00000X General Practice (Licence: PR 35039) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-07-02 |