| NPI | 1205575487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A203094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT226628) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-06-10 |