| NPI | 1710056585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A85163) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A85163) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-01-06 |