| NPI | 1144484122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13317) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2014-04-03 |