| NPI | 1013272780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301108121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P27646) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2016-09-01 |