| NPI | 1831261197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD27114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G033619) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-09-09 |