| NPI | 1750325924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 11007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 11007) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-11-21 |