| NPI | 1487728960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A9505) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9505) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-02-28 |