| NPI | 1457589129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A110909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104053) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-12-20 |