| NPI | 1518302447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS20703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 3079) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2025-08-28 |