| NPI | 1205879202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A83389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME89553) |
| 207R00000X Internal Medicine (Licence: VI 2771) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-09-03 |