| NPI | 1235356403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E5946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946601) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-02-25 |