| NPI | 1427048032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A44412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 07510R) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-03-03 |