| NPI | 1467706325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A14751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006854) |
| 207R00000X Internal Medicine (Licence: AZ none) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2016-08-08 |