| NPI | 1619263035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD219065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A133627) |
| 207R00000X Internal Medicine (Licence: AK 124659) | |
| 207R00000X Internal Medicine (Licence: NV 21387) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-01-27 |