| NPI | 1245553098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 253150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD174931) |
| 207R00000X Internal Medicine (Licence: PA MD447107) | |
| 207R00000X Internal Medicine (Licence: NM MD2013-0051) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2026-01-07 |