| NPI | 1124281563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-6890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt 191083) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2011-04-27 |