| NPI | 1598791352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A8237) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8237) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-09 |