| NPI | 1497832224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2010018988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 00G775550) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-10-05 |