| NPI | 1922265123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME156826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53015) |
| 207R00000X Internal Medicine (Licence: VA 0101246997) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2025-12-16 |