| NPI | 1700414190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H98238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS23160) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-02-11 |