| NPI | 1437347473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 76068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053841) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |