| NPI | 1720271604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A110641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 25816) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-06-20 |