| NPI | 1225122674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36300) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-05-24 |