| NPI | 1528176989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C137803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD066523L) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2015-08-26 |