| NPI | 1407103997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 60384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D79058) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2018-08-14 |