| 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 |