| NPI | 1700165305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2018-0786) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2025-07-09 |