| NPI | 1588657308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 52120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 52120) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2015-12-03 |