| NPI | 1265662340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1596376) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2016-11-18 |