| NPI | 1417066291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106917) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-10-15 |