| NPI | 1316124399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 96713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 37600) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2022-02-11 |