| NPI | 1487941142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 95438) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN DO4528) |
| 207R00000X Internal Medicine (Licence: FL OS13793) | |
| 207R00000X Internal Medicine (Licence: VA 0116023929) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2025-12-31 |