| NPI | 1396972956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 145511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250517) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2018-01-18 |