| NPI | 1235399817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011001463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008016452) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2011-06-30 |