| NPI | 1356304828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ACN 295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 11914) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2019-12-05 |