| NPI | 1801174941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A130103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200304) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2023-07-07 |