| NPI | 1689161028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME167435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 30597) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2026-05-19 |