| NPI | 1689667461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ A25572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 56218) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2011-07-20 |