| NPI | 1497012512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3233) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2015-02-03 |