| NPI | 1124206263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD425479) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102987) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-04-22 |