| NPI | 1053689703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD16486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119526) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2023-10-27 |