| NPI | 1922379296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 028371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G5052) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |