| NPI | 1942523758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ACN1032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 7376) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2018-03-17 |