| NPI | 1841261880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0030355) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0030355) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2011-10-25 |