| NPI | 1326304007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A136998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60289578) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2025-05-07 |