| NPI | 1760663736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR PA01288) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OR PA01288) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2009-10-09 |