| NPI | 1992969075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME125686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092988) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2023-04-26 |