| NPI | 1679785364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS9290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016728) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-07-18 |