| NPI | 1396009775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 17230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270685) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2025-10-06 |