| NPI | 1205851425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 91826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 030411) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2026-02-19 |