| NPI | 1851693436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX S6386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197947) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2025-07-15 |