| NPI | 1881613396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C127825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083013) |
| 207R00000X Internal Medicine (Licence: CA 127825) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-04-20 |