| NPI | 1801058011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL30901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 30901) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2025-02-10 |