| NPI | 1043253453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-01718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39605) |
| 207R00000X Internal Medicine (Licence: VA 0101247797) | |
| 207R00000X Internal Medicine (Licence: SC 29938) | |
| 207R00000X Internal Medicine (Licence: GA 63011) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-10-21 |