| NPI | 1366063661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A187568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 00000) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2023-08-02 |