| NPI | 1336175967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 83443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 3761041205) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2015-07-13 |