| NPI | 1538277090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90195) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2014-05-13 |