| NPI | 1588977649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A118425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 55784) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2016-10-04 |