| NPI | 1336589142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 279783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256113) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2019-09-03 |