| NPI | 1396066122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016595) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2016-08-11 |