NPI | 1821740523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 24474) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 24474) |
Enumeration Date | 2022-01-24 |
Last Update Date | 2025-06-23 |