| NPI | 1780751321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37287) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-10-14 |