| NPI | 1316261910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-01676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 71754) |
| 207R00000X Internal Medicine (Licence: MS 24072) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2016-02-25 |