| NPI | 1801013594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C56160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220333) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-02-17 |