| NPI | 1760510051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD439728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A94441) |
| 207R00000X Internal Medicine (Licence: CO DR.76481) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2025-12-02 |