| NPI | 1013238963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 254698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243977) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2013-11-26 |