| NPI | 1366469298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301083560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A77321) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-09 |