| NPI | 1528133170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ az55761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A70575) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-05-14 |