| NPI | 1851341309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 223) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 223) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-10-03 |