| NPI | 1205810751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 6297902-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88837) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2013-03-01 |