| NPI | 1316250780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P24061) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2017-11-01 |