| NPI | 1669997045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 272358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61181130) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2025-07-14 |