| NPI | 1427789387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61686266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP05742) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-07-31 |