| NPI | 1346442720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-01099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 22184) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2012-07-09 |