| NPI | 1366441693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME49761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 17159) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-02-21 |