| NPI | 1881115368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 80187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD204342) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2026-05-05 |