| NPI | 1386696185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A63489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52330) |
| 207R00000X Internal Medicine (Licence: MO 2018016629) | |
| 207R00000X Internal Medicine (Licence: MI 4301115586) | |
| 207R00000X Internal Medicine (Licence: TX R8607) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-08-14 |