| NPI | 1316264419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A133816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD450925) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2015-09-08 |