| NPI | 1669648739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A103803) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA A103803) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2025-09-04 |