| NPI | 1518956887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0049159) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL me49159) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2013-06-21 |