| NPI | 1275855355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 13278R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 09645) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |