| NPI | 1346538683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248851) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2015-01-07 |