| NPI | 1730110784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C56139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12065) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-04-07 |