| NPI | 1841491339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C158664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225643) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-08-10 |