| NPI | 1285168237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 99047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10957081-1205) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2025-04-10 |