| NPI | 1265466874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A53066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TPME4602) |
| 207R00000X Internal Medicine (Licence: CO DR.0069367) | |
| 207R00000X Internal Medicine (Licence: WA MD61342018) | |
| 207R00000X Internal Medicine (Licence: IL 036.162198) | |
| 207R00000X Internal Medicine (Licence: KY 57068) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-12-19 |