| NPI | 1992902787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS10865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017456) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2016-03-11 |