| 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 |