| NPI | 1447146733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL TRN44862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 18030) |
| Enumeration Date | 2025-06-14 |
| Last Update Date | 2026-06-04 |