| NPI | 1467582494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C132179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058837) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-08-04 |