| NPI | 1033564943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A158768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22737) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2019-10-09 |