| NPI | 1649530510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-37946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN17303) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2015-11-10 |