| NPI | 1982946547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C197903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63325) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-09-09 |