| NPI | 1841813029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A202413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD19220) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2025-07-18 |