| NPI | 1194951004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47771) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2017-11-27 |