| NPI | 1679592802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-00616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A78989) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |