| NPI | 1245553486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 75956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250208) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2019-01-17 |