| NPI | 1306880406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 8198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD18702) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-09-25 |