| NPI | 1992775092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26035) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OR 38D2107406) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-06-07 |