| NPI | 1033352638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121532) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA A121532) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2015-03-11 |