| NPI | 1720262066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301047228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32647) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2009-10-27 |