| NPI | 1538173943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 156183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90590) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-08-19 |