| NPI | 1134826175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 208867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 3014230) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2026-05-01 |