| NPI | 1578602991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D46137) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0046137) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-05-04 |