| NPI | 1275760894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD155346) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-01-08 |