| NPI | 1457388944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G152877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216029) |
| 207R00000X Internal Medicine (Licence: OH 35057715B) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-12-03 |