| NPI | 1477555811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122980) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-10-18 |