| NPI | 1265847800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A15377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME175731) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-07-30 |