| NPI | 1003267675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61673626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 300583) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-09-22 |