| NPI | 1548481955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014010515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 77384) |
| 207R00000X Internal Medicine (Licence: TX M9831) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-07-08 |