| NPI | 1831478528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A141259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 24954) |
| 207R00000X Internal Medicine (Licence: TX V6337) | |
| 207R00000X Internal Medicine (Licence: NM MD2014-0525) | |
| 207R00000X Internal Medicine (Licence: CO 0073451) | |
| 207R00000X Internal Medicine (Licence: AZ 49046) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2025-03-27 |