| NPI | 1265576474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A064562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A64562) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-02-11 |