| NPI | 1083852271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2009-0220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188953) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2016-09-02 |