| NPI | 1407032378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0075938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101546) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2013-06-03 |