| NPI | 1952578460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-00214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243377) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2012-07-03 |