| NPI | 1902216872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A145109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205881) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2021-12-10 |