| NPI | 1780838961 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 14006) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105177) | 
| 208000000X Pediatrics (Licence: NV 14006) | |
| Enumeration Date | 2008-11-13 | 
| Last Update Date | 2024-03-21 |