| NPI | 1699272195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD221409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A165312) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-11-13 |