| NPI | 1649249954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 54134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD22276) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-03-17 |