| NPI | 1073624201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A51426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A051426) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-12-16 |