| NPI | 1225145840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 42553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 204-121) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-04-29 |