| NPI | 1679641971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 40640) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2026-03-24 |