| NPI | 1003897737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS10911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017288) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-08-19 |