| NPI | 1396049631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A114685) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A114685) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2024-10-10 |