| NPI | 1326184144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 12263) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-03-07 |