| NPI | 1518377860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-01415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201038) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2026-05-06 |