| NPI | 1013273606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0078938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D78938) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2018-03-03 |