| NPI | 1033772298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 91580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 41924) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-04-02 |