| NPI | 1285848093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241734) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-08-15 |