| NPI | 1245725712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101024276) |
| 207R00000X Internal Medicine (Licence: MI 5151010119) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-12-29 |