| NPI | 1033370622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 59908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 713) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2015-12-23 |