| NPI | 1235889429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A200283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V9387) |
| 207R00000X Internal Medicine (Licence: NY 338507) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-08-07 |