| NPI | 1942568217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 14162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 26381) |
| 207R00000X Internal Medicine (Licence: CA G86143) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |