| NPI | 1417153008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD15656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-5297) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2014-06-10 |