| NPI | 1083110456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A17897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A17897) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-11-21 |