| NPI | 1760758726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 255112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A120230) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2022-02-11 |