| NPI | 1902286735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G75969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 70499) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |