| NPI | 1154812659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 21222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1348) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-02-29 |