| NPI | 1659556488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 047792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240410) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |