| NPI | 1609932045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G079464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO MDR6H24) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-01-30 |