| NPI | 1831327972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018348) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2014-09-15 |