| NPI | 1063500577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 13295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G85351) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-03-04 |