| NPI | 1306866900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A94362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5892) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-07-09 |