| NPI | 1528257250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 43080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059978) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-05-30 |