| NPI | 1225131535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A84818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24516) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-01-19 |