| NPI | 1235443946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 153558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096667) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2022-02-03 |