| NPI | 1336313154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44421) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 44421) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2020-03-04 |