| NPI | 1871832253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO219423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 14791) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2026-01-22 |