| NPI | 1568438976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A45465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A45465) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-06-03 |