| NPI | 1598053894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099457) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-07-09 |