| NPI | 1881803856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 057355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 075525) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |