| NPI | 1003994278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 47321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA BH 7031343) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-04-09 |