| NPI | 1396929477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41046) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 16766) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2020-10-12 |