| NPI | 1902837461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2007-0167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A87223) |
| 207R00000X Internal Medicine (Licence: PA MD422688) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-06-25 |