| 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 |