| NPI | 1770853681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G21765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G21765) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |