| NPI | 1215984547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 28393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 203733) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2010-07-08 |