| NPI | 1144646704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD190840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt205499) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2018-11-28 |