| NPI | 1942495833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 062089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001923) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2011-08-03 |