| NPI | 1548483902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 046975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A91236) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-02-28 |