| NPI | 1699931584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008011775) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2013-08-02 |