| NPI | 1013982602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A62754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME172259) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2025-03-03 |