| NPI | 1518924067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 1872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A18675) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-09-29 |