| NPI | 1841860293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A192602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 25595) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-07-08 |