| NPI | 1528354966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO166704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG154631) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-08-27 |