| NPI | 1134534308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A145929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104544) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-04-09 |