| NPI | 1073741799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A119533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194191) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2012-09-14 |