| NPI | 1851396816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G70251) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G070251) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-11-22 |