| NPI | 1811901580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A98907) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MS 26851) |
| 207R00000X Internal Medicine (Licence: WA MD00042605) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-06-29 |