| NPI | 1336183003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 42-0007969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G42258) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-04-18 |