| NPI | 1174818140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A142744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247779) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2024-04-19 |