| NPI | 1043363872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G48480) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G48480) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G48480) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G48480) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-02-20 |