| NPI | 1164508248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME56026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 42903) |
| 207R00000X Internal Medicine (Licence: GA 050204) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-05-12 |