| NPI | 1467596858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A108524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229031) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2011-12-09 |