| NPI | 1326363565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO 1585) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2016-12-02 |