| NPI | 1952505729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C155576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD 28560) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-04-01 |