| NPI | 1144248410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A48057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 42337) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-06-16 |