| NPI | 1710997580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD039954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88764) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-10-05 |