| NPI | 1003086828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G069056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G56069) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-04-18 |