| NPI | 1760623151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A117323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI Lp01445) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2016-01-21 |