| NPI | 1700976024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A31535) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2009-06-22 |