| NPI | 1629489554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD188243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A148581) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-03-17 |