| NPI | 1780671792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 64218-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G81817) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-11-13 |