| NPI | 1346259512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0058446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 9705) |
| 207R00000X Internal Medicine (Licence: CA A73868) | |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2019-04-09 |