| NPI | 1740391507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101226180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A64566) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |