| NPI | 1952831133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS19714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205805) |
| 207R00000X Internal Medicine (Licence: VA 0116030466) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2025-09-15 |