| NPI | 1083630842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD29257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G68660) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-04-08 |