| NPI | 1821583956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 344672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 6315) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2025-05-21 |