| NPI | 1013142827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301092556) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301092556) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2015-08-26 |