| NPI | 1780797860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD09116-RI) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 035428) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |