| NPI | 1114248358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A124753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107041) |
| 207R00000X Internal Medicine (Licence: MA L-244070) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2018-08-01 |