| NPI | 1285944272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A125253) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA mt198041) |
| Enumeration Date | 2010-10-09 |
| Last Update Date | 2021-10-21 |