| NPI | 1336302868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011018411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008015416) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2025-09-30 |