| NPI | 1205134350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 006058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11539) |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2013-07-08 |