| NPI | 1396132460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A160871) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2021-05-25 |