| NPI | 1508424854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 1.076096) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 1.076096) |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2025-02-06 |