| NPI | 1447205240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 046324) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 046324) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-07-19 |