| NPI | 1013010545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0062885) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2025-11-18 |