| NPI | 1508109463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD182237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A134157) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-07-21 |