| NPI | 1760762348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN DO2709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2793) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2014-10-13 |