| NPI | 1508495631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A203918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2023-1118) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-03-16 |