| NPI | 1225101447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 2008-01220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01220) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-02 |