| NPI | 1326100835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G81095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G018095) |
| 207R00000X Internal Medicine (Licence: CA G08109C) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-10-18 |