| NPI | 1508961970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101227815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA GO81041) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-11 |