| NPI | 1215969506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C131004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-111346) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-07-29 |