| NPI | 1902065956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 120501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 45181) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-01-05 |