| NPI | 1184806549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101247636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.1.TUL-MI) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2013-01-18 |