| NPI | 1962882811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A145329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA D6400144) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2022-04-30 |