| NPI | 1043425812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 122414) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-06-10 |