| NPI | 1083881841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A117471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54264-020) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-04-20 |