| NPI | 1265753040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD18631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118694) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-07-23 |