| NPI | 1356908958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2025-0453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD18236) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-08-28 |