| NPI | 1356570915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 260281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107266) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2014-10-16 |