| NPI | 1063805331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A155306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207789) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2022-09-22 |