| NPI | 1831716463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A202034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2020019050) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-07-31 |