| NPI | 1518959329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 4230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036089529) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2026-05-08 |