| NPI | 1821842196 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351052501) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0011068) | 
| Enumeration Date | 2024-04-15 | 
| Last Update Date | 2025-06-30 |