| NPI | 1639135098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A38003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 103002) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-03-20 |