| NPI | 1033370655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 66516) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA 390200000X) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2015-03-02 |