| NPI | 1699339473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0094828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351044217) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2025-12-18 |