| NPI | 1982032777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 18914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A43818) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |