| NPI | 1417129453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 12677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0528) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2020-02-17 |