| NPI | 1851944839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 346511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME155785) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2025-11-26 |