| NPI | 1679956973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 1202949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 26045) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2026-06-04 |