| NPI | 1295864379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-00399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134019) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-09-27 |