| NPI | 1801982632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A113489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19447) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-08-12 |