| NPI | 1861632838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 6525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 932674161205) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-10-25 |