| NPI | 1831364991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249583) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2012-05-12 |