| NPI | 1275604241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 234547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A77119) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-02-02 |