| NPI | 1932488566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A146983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49834) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2022-07-21 |