| NPI | 1285071340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 80478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME126857) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-10-08 |