| NPI | 1356592778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 46285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002502) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2016-01-08 |