| NPI | 1023113495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD DO34054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101039676) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-06-16 |