| NPI | 1285210674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO219620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM DO2025-0053) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-06-10 |