| NPI | 1316045586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00021708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 21708) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-03-29 |