| NPI | 1376541334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0049198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66167) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-06-24 |