| NPI | 1063541761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A82341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA Md428838) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-09-14 |