| NPI | 1891898433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD11864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 11864) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-10-03 |