| NPI | 1134312150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 63486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17663) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2015-03-26 |