| NPI | 1134458235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A136400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011015919) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2015-09-08 |