| NPI | 1497018972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13846) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 20A13846) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-11-01 |