| NPI | 1356965222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD221343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11923) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-10-30 |