| NPI | 1659359669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0006165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 127943) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-11-12 |