| NPI | 1649581463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 258046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248445) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2016-03-01 |