| NPI | 1285816652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301111153) |
| 207R00000X Internal Medicine (Licence: NM 2022-0923) | |
| 207R00000X Internal Medicine (Licence: WA 60947868) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2025-11-10 |