| NPI | 1982785713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A62163) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A062163) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-11-19 |