| NPI | 1255537478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 241865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045493) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2009-10-20 |