| NPI | 1528234366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 047241) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2011-04-06 |