| NPI | 1609258052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 3475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102209707) |
| 207R00000X Internal Medicine (Licence: OH 34.018304) | |
| 207R00000X Internal Medicine (Licence: MD H0105366) | |
| 207R00000X Internal Medicine (Licence: PA OS025521) | |
| 207R00000X Internal Medicine (Licence: IN 02008734A) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2026-06-08 |