| NPI | 1700119948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL os11162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL uo2143) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2012-10-16 |