| NPI | 1528351053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019228) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-07-21 |