| NPI | 1982899811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 102307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16317) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2014-07-28 |