| NPI | 1710566708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A192954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD227744) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-03-02 |