| NPI | 1013168483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A103340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101634) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2015-09-15 |