| NPI | 1518177948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A116608) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-10-12 |