| NPI | 1144578675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R4E00) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-22728) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |