| NPI | 1013989870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 18697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12279) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2013-12-16 |