| NPI | 1891049128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD190504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A123561) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2024-04-13 |