| NPI | 1487094041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C180349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74161) |
| 207R00000X Internal Medicine (Licence: WA MD 60590060) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-09-26 |