| NPI | 1043458086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127850) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI AS3062508-100) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2014-09-12 |