| NPI | 1528362746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 798-L) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2019-09-11 |