| NPI | 1083887665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME100424) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2020-06-03 |