| NPI | 1194715664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201500393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G88138) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2017-09-27 |