| NPI | 1083791925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD 9426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G63932) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-01-26 |