| NPI | 1396772596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A44227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD13536) |
| 207R00000X Internal Medicine (Licence: OR MD22205) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-06-18 |