| NPI | 1073651527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A112690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229020) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2010-06-07 |