| NPI | 1366578544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A108908) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2010-04-29 |