| NPI | 1366611352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0071811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD30754) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2025-12-17 |