| NPI | 1275828162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199514) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-10-15 |