| NPI | 1942251392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 011918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 11918) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-02-01 |