| NPI | 1811157126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236093) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-05-15 |