| NPI | 1073834453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.132626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015787) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2017-02-27 |