| NPI | 1134154917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 38053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a55933) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-05-17 |