| NPI | 1780843953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A124673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47048) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2015-04-08 |