| NPI | 1790037620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME DO2776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5742) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2018-05-04 |