| NPI | 1164485629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME67106) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0067106) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2014-03-31 |