| NPI | 1659582971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A102673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 4784) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-02-11 |