| NPI | 1124294756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 56347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109277) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2020-01-23 |