| NPI | 1295073468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G87924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME54554) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |