| NPI | 1912988288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 61022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 061022) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-12-29 |