| NPI | 1598938706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 61759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001619) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2014-03-26 |