| NPI | 1306043716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 54857-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107015) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2010-12-01 |