| NPI | 1215190541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C158408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407045) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2020-02-18 |