| NPI | 1588608475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A77361) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A77361) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-07-10 |