| NPI | 1770679342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G076930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G76930) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-01-10 |